MR. Gallus Lereh Fotabong
NPI #1821755513 in Lynn, Massachusetts
Provider Information
- NPI Number
- 1821755513
- Entity Type
- Individual
- Name
- MR. Gallus Lereh Fotabong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Nov 17, 2021
Practice Location
- Address
- 41 HARVEST ST
- City
- Lynn
- State
- Massachusetts
- ZIP Code
- 01902-1122
- Phone
- (781) 244-8473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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